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HomeMy WebLinkAbout996 SUNFLOWER AVE - Building Permitsx"7-1 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 F pplicant to Fill in Completely BUILDING ADDRESS OWNER MAIL ADDRESS TEL. CITY 91ft CA 8'1NO. CONSTRUCTION LENDER M BRANCH ADDRESS ARCHITECT TEL. OR ENGINEER NO ADDRESS CONTRACTOR 1 1 ADDRESS L < U J1r TEL CITY l NO. J STATE CITY LIC. NO. LIC. NO. SIZE NO. OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. SIZE OF 1 N0. OF NEW BLDG. ROOMS STORIESf EXTERIOR WAL ROOF �% COVERING COVERING USE OF BUIL AND WORK 70 BE PERF R D U I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the werkman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business an Professions tle, Division 3, Chapter 9. Signature of .'_- I• Permittee ✓✓/'W Authorized A ont P SEP 2.2-72clasn10:.00 872 *****6.04 PILICATION FOR BUILDING PERMIT FIRE ZONE N NE NO.OF SE OF NEW / V/ ,r' PLANS UILDING4y.gv rL( YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLD VAR.+ DATE C.U.P.* _ APPROVED m m SO. FT. r —Ir THE/AMOUNT SHOWN UNDERVALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION m PERMIT FEE $ FW i�WA f FIRE ZONE N NE NO.OF SE OF NEW / V/ ,r' PLANS UILDING4y.gv rL( YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLD VAR.+ DATE C.U.P.* _ APPROVED m m SO. FT. o THE/AMOUNT SHOWN UNDERVALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION m PERMIT FEE $ N 7 f m $/n© PLAN CHECK $ E LL TOTAL FEE S